Istrouma High School - Class of 1964
Class Directory Information Form
Please use upper and lower case when entering your data. Thanks!
*Fields with * are required.
*
indicates required
Name:
Email:
Comment:
*Email Address
*
*Last Name in 1964
*
Your legal last name in 1964.
*Last Name Today
*
Your legal last name today.
*First Name
*
Your legal first name.
*Middle Name or Initial
*
Your legal middle name or an initial.
Preferred Name
The name you go by ?
Spouse's / Other's Name & Occupation
Phone-Home
(
)
-
If NONE, type NA
Phone-Work
(
)
-
If NONE, type NA
Phone-Cell
(
)
-
If NONE, type NA
*Street Address
*
*City
*
*State
*
2 Letter Code such as LA, MS, TX, etc.
*Zipcode
*
Your Occupation/Retired?
Comments
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